Organization · NPI-2

Beauregard Creative Arts Therapy PLLC

Drama Therapist · New York, NY

NPI number1093572679
StatusActive
Last updated in NPPESFeb 29, 2024

Details

NPI
1093572679
Entity type
Organization (NPI-2)
Legal business name
Beauregard Creative Arts Therapy PLLC
Organization subpart
No
Enumeration date
Feb 29, 2024
Certification date
Feb 29, 2024
Last updated
Feb 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101200000X Drama Therapist––Yes

Practice location

225 Broadway Ste 2130
New York, NY 10007-3733

Phone 917-204-2846

Mailing address

135 Coffey St Apt 206c
Brooklyn, NY 11231-1055

Phone 917-204-2846

Authorized official

Mark Beauregard
Founder/Sole Member
9172042846

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Drama Therapist providers in New York, NY